Jamie L. Frederick, MCD, CCC-SLP

Speech-Language Pathologist · Wynne, AR

Individual Active NPI

NPI number 1275823494

Practice location

111 Merriman Ave E
Wynne, AR 72396-2941
Phone
(870) 270-7963

Open in Google Maps

NPI record

NPI
1275823494
Entity type
Individual (Type 1)
Enumeration date
April 8, 2011
Last updated
December 5, 2023
Certified
December 5, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

5 County Road 7290
Wynne, AR 72396-8121
Phone
(870) 270-7963

About Jamie Frederick

Jamie L. Frederick, MCD, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 111 Merriman Ave E, Wynne, AR 72396-2941. The NPI number 1275823494 was assigned on April 8, 2011 and the record was last updated on December 5, 2023.

Frequently asked questions

What is the NPI number of Jamie L. Frederick, MCD, CCC-SLP?

The NPI number is 1275823494.

What is the phone number of Jamie Frederick?

The phone number listed for the practice location is (870) 270-7963.

Where is Jamie Frederick located?

111 Merriman Ave E, Wynne, AR 72396-2941.

What is the taxonomy code for Jamie Frederick?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Speech-Language Pathologist providers in Wynne

All Speech-Language Pathologist providers in Wynne, AR →